Provider Demographics
NPI:1710851241
Name:YEE, SHANNEN MARIE (MFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:SHANNEN
Middle Name:MARIE
Last Name:YEE
Suffix:
Gender:F
Credentials:MFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 SHADOW RIDER LN
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-1426
Mailing Address - Country:US
Mailing Address - Phone:361-995-4004
Mailing Address - Fax:
Practice Address - Street 1:7606 SHADOW RIDER LN
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-1426
Practice Address - Country:US
Practice Address - Phone:361-995-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206203106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist